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Rotator Cuff TearsNCT06875895

Effect of Motor Imagery Training on Pain, Functionality, Proprioception and Kinesiophobia in Partial Rotator Cuff Tear

A study testing Traditional Physiotherapy and Motor Imagery Training in people with Rotator Cuff Tears, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of this study is to investigate the effects of motor imagery training on pain, functionality, proprioception and kinesiophobia in patients with partial rotator cuff tears. Participants will be randomly assigned to traditional physiotherapy and motor imagery groups. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Rotator Cuff Tears
What is being tested?
Traditional Physiotherapy and Motor Imagery Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteTurkey (Türkiye)
Study dates
16 Jan 2025to 3 May 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Partial rotator cuff tear diagnosis.
  • Between the ages of 18-65
  • Patients experiencing pain for at least 4 weeks.
  • Having a valid score on the Mini Mental Test (>24)
  • Those without a history of any neurological or serious psychological illness.
  • Those who have not participated in a previous study on motor imagery training

Who cannot join

  • Complete rotator cuff tear or conditions requiring surgical intervention,
  • Participants who have received treatment with corticosteroids by any means in the previous 6 months,
  • Participants who have a rotator cuff tear due to acute traumatic conditions (proximal humerus fracture).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Sevtap CAKIR, Asst. Prof. contact

05343818927

sevtap.cakir@ksbu.edu.tr

Sevtap CAKIR, Asst. Prof. contact

Turkey (Türkiye)1 site, 1 recruiting
  • Kütahya Health Sciences University

    Kütahya, 43000

    Sevtap Çakır, Asst. Prof., 05343818927, sevtap.cakir@ksbu.edu.tr

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Effect of Motor Imagery Training on Pain, Functionality, Proprioception and Kinesiophobia in Patients With Partial Rotator Cuff Tears

The aim of this study is to investigate the effects of motor imagery training on pain, functionality, proprioception and kinesiophobia in patients with partial rotator cuff tears. Participants will be randomly assigned to traditional physiotherapy and motor imagery groups. Interventions will be performed with a physiotherapist for a total of 20 sessions for 4 weeks, 5 days a week. The intervention program will be determined by the Specialist Physical Therapy Physician. Data will be collected before the study, at the end of the training in the 4th week and at the 8th week (follow-up evaluation). Motor imagery ability will be assessed with the Movement Imagery Questionnaire (MIQ-R), pain will be assessed with the Numerical Assessment Scale for functionality with the DASH, proprioception will be assessed with the inclinometer and kinesiophobia will be assessed with the Tampa Kinesiophobia Scale.

Read the detailed description

One of the most common pathologies related to the shoulder joint, which has a wide range of motion, is the tears of varying degrees in the rotator cuff muscles. The rotator cuff muscles consist of the dynamic stabilizers of the shoulder: supraspinatus, infraspinatus, subscapularis and teres minor muscles. Pathologies related to the rotator cuff can present as simple overuse, impingement syndrome, partial tear, full-thickness tear and, in the advanced stage of the tear, rotator cuff tear arthropathy. Such tears can usually occur due to injuries and traumas, degeneration due to aging, overuse or repetitive movements. The main symptoms of a partial rotator cuff tear are increased shoulder pain during overhead movements, limited movement, muscle weakness and loss of function. Partial rotator cuff tear is usually diagnosed with physical examination and imaging techniques such as MRI (Magnetic Resonance Imaging), ultrasonography, and X-ray. The treatment approach varies depending on the size of the tear, the patient's symptoms, and lifestyle, and is divided into conservative treatments and surgical techniques. Motor imagery is the individual's conscious simulation of the movement without any motor output. Motor imagery contributes to the improvement of motor performance and the learning of new motor skills. Motor imagery is divided into two as visual and kinesthetic imagery. While visual imagery consists of visualizing the movement, kinesthetic imagery focuses on the position of the muscles and limbs and the somatic sensations created by their movement. Studies combining motor imagery with classical physiotherapy training show that it increases the effectiveness of the treatment.

Being tested
Traditional Physiotherapy, Motor Imagery Training
Keywords
Rotator Cuff, Exercise therapy, Imagery
Medical subject headings
Rotator Cuff Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Traditional PhysiotherapyOther

    Hotpack, Tens and Ultrasound application

  • Motor Imagery TrainingOther

    Kinesthetic and visual motor imagery will be applied.

Study groups in NCT06875895
Study groupRoleWhat they receive
Control Group (Traditional Physiotherapy)Active comparatorTraditional physical therapy will begin with the application of Hotpack, Tens and Ultrasound to the painful area for five minutes. Then, stretching exercises will be performed at the pain limit for the six main shoulder movements in the shoulder joint. Then, wand exercises, pendulum exercises, isometric exercises for the shoulder joint and strengthening active exercises will be given in order to increase the normal range of motion in the shoulder joint. The six main shoulder movements will be actively performed (flexion, extension, abduction, adduction, medial and lateral rotations). After the 5th session, weights will be added according to the patient's condition.
Receives: Other: Traditional Physiotherapy
Motor Imagery TrainingExperimentalIn motor imagery training, exercises in traditional physiotherapy will be applied with kinesthetic and visual motor imagery. Each movement will be divided into five sets consisting of two trials separated by 10 repetitions and 30-second rest periods. It will also be emphasized through practice that the functional movement imagined and the times when this movement is actually actively performed should be similar. Individuals' eyes will be closed throughout the entire motor imagery training. At the very beginning of the session, a relaxation exercise lasting approximately 5 minutes will be performed in order to maximize attention during motor imagery. Whether or not individuals are performing imagery will be monitored by monitoring heart rate variables from autonomic functions. In order to ensure standardization during imagery, commands will be applied with audio recordings containing metaphors.
Receives: Other: Motor Imagery Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Standardized Mini Mental Test

    The Standardized Mini Mental Test is a short, efficient and standard method that can be preferred in determining the cognitive level of the individual. It is collected under five headings: orientation, recording memory, attention and calculation, recall and language. There are eleven items that individuals will answer. It is evaluated out of a total of 30 points. The threshold value was determined as 24 points in the Turkish validity and reliability study.

    Measured: a day before the rehabilitation

  2. Numerical Rating Scale

    Pain intensity will be measured using the Numerical Rating Scale. A decrease in the point indicates that the pain is decreasing.

    Measured: a day before the rehabilitation

  3. Numerical Rating Scale

    Pain intensity will be measured using the Numerical Rating Scale. A decrease in the point indicates that the pain is decreasing.

    Measured: up to 4 weeks

  4. Numerical Rating Scale

    Pain intensity will be measured using the Numerical Rating Scale. A decrease in the point indicates that the pain is decreasing.

    Measured: up to 8 weeks

  5. Disabilities of the arm, shoulder, and hand

    Disabilities of the arm, shoulder, and hand scale is a questionnaire developed to assess the musculoskeletal pathology of the upper extremity and the entire upper extremity in general. It consists of 30 questions that evaluate the degree of difficulty in performing different activities using the upper extremity in daily life in the last week (21 questions), symptoms consisting of pain, activity-related pain, numbness, joint stiffness and weakness (5 questions), and the effects of pathologies on social life, sleep, work and psychological status (4 questions). All questions have a 5-point Likert model (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). The Turkish version of the DASH Questionnaire was used.

    Measured: a day before the rehabilitation

  6. Disabilities of the arm, shoulder, and hand

    Disabilities of the arm, shoulder, and hand scale is a questionnaire developed to assess the musculoskeletal pathology of the upper extremity and the entire upper extremity in general. It consists of 30 questions that evaluate the degree of difficulty in performing different activities using the upper extremity in daily life in the last week (21 questions), symptoms consisting of pain, activity-related pain, numbness, joint stiffness and weakness (5 questions), and the effects of pathologies on social life, sleep, work and psychological status (4 questions). All questions have a 5-point Likert model (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). The Turkish version of the DASH Questionnaire was used.

    Measured: up to 4 weeks

  7. Disabilities of the arm, shoulder, and hand

    Disabilities of the arm, shoulder, and hand scale is a questionnaire developed to assess the musculoskeletal pathology of the upper extremity and the entire upper extremity in general. It consists of 30 questions that evaluate the degree of difficulty in performing different activities using the upper extremity in daily life in the last week (21 questions), symptoms consisting of pain, activity-related pain, numbness, joint stiffness and weakness (5 questions), and the effects of pathologies on social life, sleep, work and psychological status (4 questions). All questions have a 5-point Likert model (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: completely unable to do). The Turkish version of the DASH Questionnaire was used.

    Measured: up to 8 weeks

  8. Tampa Kinesiophobia Scale

    The Tampa Kinesiophobia Scale will be used. A 4-point Likert scale is used and the total score is 33. The higher a person's score on the scale, the greater their fear of movement.

    Measured: a day before the rehabilitation

  9. Tampa Kinesiophobia Scale

    The Tampa Kinesiophobia Scale will be used. A 4-point Likert scale is used and the total score is 33. The higher a person's score on the scale, the greater their fear of movement.

    Measured: up to 4 weeks

  10. Tampa Kinesiophobia Scale

    The Tampa Kinesiophobia Scale will be used. A 4-point Likert scale is used and the total score is 33. The higher a person's score on the scale, the greater their fear of movement.

    Measured: up to 8 weeks

Secondary outcomes (3)
  1. Movement Imagery Questionnaire (MIQ-R)

    This is an 8-item self-report questionnaire in which participants rate the vividness of their mental representations using a 7-point scale (1 = very difficult to see/feel and 7 = very easy to see/feel). This test will be used to ensure that the sample does not include individuals with extremely high or low motor imagery ability

    Measured: a day before the rehabilitation

  2. Movement Imagery Questionnaire (MIQ-R)

    This is an 8-item self-report questionnaire in which participants rate the vividness of their mental representations using a 7-point scale (1 = very difficult to see/feel and 7 = very easy to see/feel). This test will be used to ensure that the sample does not include individuals with extremely high or low motor imagery ability

    Measured: up to 4 weeks

  3. Movement Imagery Questionnaire (MIQ-R)

    This is an 8-item self-report questionnaire in which participants rate the vividness of their mental representations using a 7-point scale (1 = very difficult to see/feel and 7 = very easy to see/feel). This test will be used to ensure that the sample does not include individuals with extremely high or low motor imagery ability

    Measured: up to 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Mar 2025
  2. Study start16 Jan 2025
  3. Primary completion3 Apr 2026
  4. Study completion3 May 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
A single-center randomized controlled study was designed.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06875895
Sponsor's protocol ID
KSBU-RC
Status last verified
Apr 2026
First submitted
9 Mar 2025
Last updated
23 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Traditional Physiotherapy and Motor Imagery Training in people with Rotator Cuff Tears, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 23 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sevtap CAKIR, Asst. Prof. (05343818927, sevtap.cakir@ksbu.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Standardized Mini Mental Test (time frame: a day before the rehabilitation). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Apr 2026.

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